Registered Nurse Clinical Reviewer / AIMS

About the Job

Registered Nurse Clinical Reviewer - Remote (New York)

Location: Remote (New York-based)

Employment Type: Full-time

Pay: $50/hour

Schedule: Sunday-Thursday, full-time, fully remote

Position Overview:

We are seeking an experienced Registered Nurse Clinical Reviewer to join our team supporting a respected non-profit healthcare organization in New York. In this fully remote role, you'll conduct utilization reviews and quality study data collection, ensuring compliance and accuracy across healthcare documentation.

Why You'll Love Working Here:

• Competitive pay at $50/hour.
• 1 week paid vacation after 3 months (2 weeks starting your second year).
• 6 major paid holidays per year.
• 5 sick days (40 hours), per the NYS Paid Sick Leave Act.
• License reimbursement after 1 year.
• Health insurance (subject to plan eligibility).
• 401(k) match eligibility after 1 year.
• Additional benefits including Payactiv (earned wage access).
• Strong culture and retention - 93% of our team stays 2+ years.
• Fully remote with a consistent Sunday-Thursday schedule.

Qualifications:

• Graduate of an accredited nursing program.
• Active New York State RN license.
• 1-3 years of experience in acute care utilization review / appeals.
• Comfortable working on a computer; familiar with Outlook, spreadsheets, and Word.
• Strong analytical skills, attention to detail, and ability to work independently in a remote setting.

Key Responsibilities:

• Conduct utilization reviews up to and including the appeal level - chart screening, completing electronic worksheets, entering required information, and making level-one denial decisions when necessary.
• Conduct quality and clinical study data collection reviews, including chart review and detailed electronic data worksheets.
• Serve as a resource to administrative staff for training, problem-solving, and clarifying procedures; provide technical assistance and participate in staff huddles.
• Participate in collaborative training specific to clinical study objectives.
• Other duties as needed.

About the Company

We are committed to our core values: integrity, honesty, and transparencyFinding a new position as a physician or allied health professional or filling a critical vacancy in your practice, clinic, hospital, or skilled care facility can be stressful and time-consuming.At Greenlife our mission is to make this process easier for you and help you through all the steps necessary to find that perfect new position or the healthcare professional to round out your team.We understand that every situation is different and our approach reflects that: we value personalized interaction with job seekers and employers, our searches are customized not cookie-cutter and our results speak for themselves: Happy job seekers and employers who found the right professional match through our services.